We have many options for you and your weight loss journey. It can be stressful to try and comb through all the different methods and try to guess what may work for you. Let us help! With your initial visit, you will have a full hour with the provider to complete a comprehensive overview of your health, an InBody scan and a complete blood panel (if needed and for an additional cost). We will then work together to develop a treatment plan that is tailored specifically to you, your health needs and your goals. Here is what we currently offer. All costs shown include the cost of the visit, the InBody scan and the medication: Semaglutide - Initial: $399 Monthly Follow-Up: $399 Semaglutide has been approved by the FDA as an injectable weight loss medication. Semaglutide is a synthetic version of a naturally occurring human hormone, Glucagon-like Peptide 1 or GLP-1. When administered at higher doses (Wegovy), the hormone acts on your brain to regulate your appetite and ultimately, your food intake. It stimulates insulin secretion while also decreasing glucagon secretion and delaying gastric emptying, which helps you to feel fuller longer. When used in combination with a healthy diet and exercise, Semaglutide has been shown to help individuals lose an average of us 15-20% of their total body weight. Bella Capsules - Initial: $199 Monthly Follow-Up: $149 Bella capsules are a combination capsule combining Bupropion, Phentermine, Topiramate, Naltrexone, and Methylcobalamin (B12). This combination targets weight loss from multiple angles. Bupropion can give you more energy, suppresses your appetite, and enhance your mood. Phentermine is an appetite suppressant which means its primary role is to prevent you from feeling hungry. Topiramate works by decreasing appetite and by causing feelings of fullness to last longer after eating. Naltrexone may improve your mood and suppress your sugar and carb cravings. Phentermine - Initial: $199 Monthly Follow-Up: $99 Phentermine is an appetite suppressant which means its primary role is to prevent you from feeling hungry. It blocks the brain's hunger signals by increasing the body's release of catecholamines, the hormone responsible for our "fight-or-flight." These hormones cause an increase in heart rate and a decrease in appetite. Paired with a healthy diet and exercise, phentermine is a fantastic weight loss option. Wegovy/Ozempic/Mounjaro/Zepbound - Initial: $199 Monthly Follow-Up: $129 Does your insurance cover the famous brand name weight loss medications? MIH is happy to initiate a prior authorization (PA) and begin the process for you; however, there are no guarantees that your insurance will cover the medication. If approved, the prescription will be sent to your preferred pharmacy for you to pick up and administer yourself each week. You will continue to follow-up at the clinic monthly for ongoing treatment and to monitor your progress. Telehealth - Initial: $199-299 Monthly Follow-up: varies depending on treatment MIH is excited to offer Medical Weight Loss services via Telehealth. If you are struggling to lose weight and can't find an affordable provider to assist you, do not hesitate to reach out! MIH is here to help you every step of the way! I do encourage all of my Telehealth patients to purchase a body composition scale ($75 or less!) to help you monitor your weight loss and track your goals. We will meet monthly to discuss your progress, diet, physical activity and tolerance of the treatment. Telehealth services are currently available in the following states: AZ, DC, IA, IL, MA, MN, NE, NM, NV, OR, RI and WA. Initial Baseline Labs (if not completed within the last 6 months): $70 Weight loss Boosters Lipo-Trim SL Spray: $69 1 month supply. What is this? Lipo-Trim SL is a concentrated, sublingual combination of amino acids and B vitamins in a proprietary blend of African Mango Extract, Green Coffee Bean Extract, and Raspberry Ketone Extract, that can help the body convert fat into energy. As a sublingual spray, absorption is more efficient than taking oral vitamins. MICC: $24.99 1x weekly IM injection What is this? MICC is a combination of B-vitamins that facilitate the burning of adipose tissue within the human body which may, consequently, result in some degree of weight loss. Lipo-B injections are typically used as fat loss supplements, in combination with diet and exercise, in weight loss plans. The combination of products that make up the Lipo-B (MIC) injection are methionine, choline, and cyanocobalamin (vitamin B12). LIPO-MINO-C: $27.99 1x weekly IM injection What is this? Lipo-C injection contains a mixture of compounds that may aid in the reduction of adipose tissue (fat). The B vitamins work to convert fat into energy, while the non-vitamin compounds (MIC) that are injected into the body, stimulate the liver into optimizing the process of metabolism, elevate the movement of and utilization of fat, and provide the needed metabolic environment of the body for a fatty acid (fat) mobilization and utilization. Supplements - If you are searching for supplements to enhance your overall wellness, look no further. Midwest Integrative Health is setup with FullScript, an online platform bringing you some of healthcare's best supplements on the market. Omega-3 2-4 grams EPA+DHA daily (improved cardiovascular health, improved cognition and mood) Vitamin D 800-3000 IU per day (improved immune and musculoskeletal health) Magnesium 400 mg per day (improved blood pressure control, improved headaches, improved sleep, improved cognition) B complex taken as directed on the package (improved hormonal health, improved pain response, improved stress response) Ashwagandha (Withania somnifera) 600 mg per day (improved sexual health, improved strength training and improved sleep with reduced cortisol levels) Visit FullScript Here

TESTOSTERONE REPLACEMENT THERAPY If you're feeling slow & sluggish, can't find the energy to get off the couch, gaining weight and you don't know why, or if your stamina isn't keeping up the way it used to ... this could be low testosterone. ​ Testosterone is a sex hormone that plays important roles in the body. In men, it’s thought to regulate sex drive (libido), bone mass, fat distribution, muscle mass & strength, and the production of red blood cells and sperm. ​ Symptoms of testosterone deficiency in adult men include: Reduced body and facial hair Loss of muscle mass Low libido, impotence, small testicles, reduced sperm count and infertility Increased breast size Hot flashes Irritability, poor concentration and depression Loss of body hair Brittle bones and an increased risk of fracture ​ If you feel you are suffering from low testosterone, please reach out and schedule an initial consultation by clicking the book now button. treatment. Initial Consultation - $299.00 This one hour long visit will help the provider truly understand your concerns and create a plan specifically for you. This visit also includes labs to determine your hormone levels and any other contributing factors, as well as your first month of TRT treatment. Follow-up TRT Treatment - $199 Every 8 weeks you will need to return to the clinic to monitor the progress of your treatment plan and order refills of your TRT. Per our TRT Protocol, we will do repeat lab testing throughout the treatment plan at an additional cost of $60. Supplements - If you are searching for supplements to enhance your overall wellness, including Men's Health, look no further. Midwest Integrative Health is setup with FullScript, an online platform bringing you some of healthcare's best supplements on the market. Sexual Wellness Supplements: Korean ginseng (Panax ginseng) 2000 mg, total per day, minimum 8 weeks (improved erectile dysfunction) Tribulus (Tribulus terrestris) 750 mg, total per day, minimum 3 months (improved total testosterone, intercourse satisfaction, orgasmic function, and sexual desire) Maca (Lepidium meyenii) 1500-2400 mg, total per day, minimum 8 weeks (improved sexual desire) Arginine 5 g once per day for a minimum of 6 weeks (improved erectile dysfunction and sexual function) DHEA *available in the US catalog* 50 mg of DHEA for a minimum of 6 months (improved erectile dysfunction) Ashwagandha *available in the CA catalog 675 mg total per day, minimum 3 months (improved spermatogenesis, DHEA-S and testosterone, and improved fatigue) FullScript

Hormone imbalances in women can occur as part of the aging process, however, genetic predispositions for certain conditions also play a significant role as well as the foods we eat, the exercise we get, and the amount of stress we experience. Optimizing hormones is not as easy as starting (B)HRT, bio-identical hormone replacement therapy. Generally, when you are looking to optimize your hormones, you have to look at the whole body and make adjustments to your lifestyle, diet, supplementation, sleep and exercise regimen. The Eve Questionnaire The Eve Questionnaire is a tool to evaluate whether you may be experiencing hormone deficiency symptoms. Look over these questions and see if you may be suffering from a hormone imbalance. Do you have hot flashes? Do you have a lack of energy, or have your energy levels decreased? Do you have restless sleep or sleep disturbances? Are you falling asleep after dinner? Have you noticed a decreased enjoyment of life? Are you moody or easily irritated? Do you have difficulty concentrating, or have short-term memory loss? Have you noticed muscle loss? Do you have excess body fat? Have you experienced low libido and/or pain during intercourse? The symptoms of hormone imbalances can be frustrating to live with. Choosing to add hormones to your daily routine is a personal choice and we are here to help support your ultimate health and wellness goals. Hormone replacement therapy has been shown to help relieve the symptoms of hormonal imbalances by restoring hormones to optimal levels thus allowing many patients to return to normal, healthy lives. Hormone treatment in women includes: • Cortisol • DHEA • Estrogen • Insulin • Pregnenolone • Progesterone • Testosterone • Thyroid A timeline to a new & improved YOU - 1. Schedule your wellness consult at MIH. We will discuss your medical history, family history, social history, surgical history, prior medication history, and your current lifestyle and goals. 2. Labs will need to be scheduled & collected. *For menstruating women, we need to collect your labs on days - 19, 20 or 21 - of your menstrual cycle. **For women in the peri-menopause or menopausal stage of life or women who are status post a hysterectomy, please schedule your labs at a date/time that is convenient for you. 3. 24-28 hours after your labs are collected, the results should be available to your provider for review. You will receive a lengthy analysis of your lab results within your patient portal. 4. Start recommended treatment including (B)HRT and supplements. 1. Progesterone pills are the preferred method of choice for endometrial protection, can be sent to your local pharmacy and are generally covered by your insurance. 2. Estrogen creams, patches, or pills (Estradiol, Estriol, or a combination of Estradiol and Estriol called Bi-Estrogen) can be sent through your local pharmacy or shipped directly to you from a compounding pharmacy. 3. Testosterone cream or injections shipped directly to you from a compounding pharmacy. 4. Supplements for adrenal support, thyroid, and hormone support through FullScript. 5. Begin to feel the benefits of your treatment within 4-6 weeks. 6. Around 3 months after initiating treatment, we will recheck a smaller hormone panel to make sure your body is adjust appropriately. 7. Full hormone optimization can take up to six months. Hormone Therapy Pricing - Initial Consultation: $150 (+startup costs for medications, if prescribed) Initial Female Hormone Labs: $159 Follow-up Female Hormone Labs: $60 Monthly HRT (no compounded medication): $99 Monthly HRT with 1 Compounded Hormone: $130 Monthly HRT with 2 Compounded Hormones: $170 Monthly HRT with 3 Compounded Hormones: $210 *all memberships include all-access to your provider through your patient portal, follow-up visits every 3 months, and refills on hormone replacement therapies. Supplements - If you are searching for supplements to enhance your overall wellness, including Women's Health, look no further. Midwest Integrative Health is setup with FullScript, an online platform bringing you some of healthcare's best supplements on the market. FullScript

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